CHRISTOPHER W RUSSELL (NPI# 1366695892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366695892 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER W RUSSELL |
| Credential | M.D. |
| Practice Address |
1 Boston Medical Center Place Bcd 1st Floor Boston MA 02118-2908 |
| Mailing Address |
801 Albany St Fl Ground Boston MA 02119-2560 |
| Practice Telephone | 6174145481 |
| Practice Fax Number | 6174147759 |
| Mailing Telephone | 6174145405 |
| Mailing Fax Number | 6174146031 |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2019-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 238447 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110082575A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 680 Centre St, Brockton, MA 023023308 | 5089417885 | 5089416337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073988739 | Christopher M. Russell | Specialist/Technologist, Other | 20281 Xita Ave, Port Charlotte, FL 33952-1234 | 2015-12-07 |
| 1326055708 | Christopher James Russell | Physician Assistant | 2401 Plover Rd, Plover, WI 54467-3916 | 2006-08-01 |
| 1609866839 | Christopher S. Russell | Neurological Surgery | 95 Collier Rd, Suite 4045 Peachtree Neurological Clinic, P.C., Atlanta, GA 30309 | 2005-10-27 |
| 1487279253 | Christopher Russell | Psychoanalyst | 415 W 23rd St Apt 1ee, New York, NY 10011-1409 | 2020-06-08 |
| 1902393010 | Christopher Russell | Counselor | 205 E 19th St N, Big Stone Gap, VA 24219-3468 | 2018-04-16 |
| 1780111070 | Christopher G Russell | Registered Nurse | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2017-05-17 |
| 1578942918 | Christopher M Russell | Urology | 1812 N Mills Ave, Orlando, FL 32803-1834 | 2015-05-19 |
| 1154738144 | Christopher Gavin Russell | Chiropractor | 15195 Allen Rd, Southgate, MI 48195-2921 | 2014-07-22 |
| 1265845283 | Christopher Russell | Physician Assistant | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2014-06-06 |
| 1902117385 | Christopher G Russell | Physician Assistant | 55 Fruit St, Boston, MA 02114-2621 | 2010-06-30 |
| Street Address |
1 BOSTON MEDICAL CENTER PLACE BCD 1ST FLOOR |
| City | BOSTON |
| State | MA |
| Zip Code | 02118-2908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841274594 | Michael Anthony Dawes | Psychiatry & Neurology | 1 Boston Medical Center Place, Boston, MA 02118 | 2005-12-05 |
| 1053871285 | Larissa Man-yin Wenren | Pediatrics | 1 Boston Medical Center Place, Menino Building, Dowling 3 South Resident Mailboxes, Boston, MA 02118 | 2019-03-22 |
| 1891254736 | Thomas Kuriakose | Student in an Organized Health Care Education/Training Program | 1 Boston Medical Center Place, Menino Building, Dowling 3 South Resident Mailboxes, Boston, MA 02118 | 2019-03-19 |
| 1396204152 | Katharine Griffin Gorsky | Student in an Organized Health Care Education/Training Program | 1 Boston Medical Center Place, Menino Bldg, Dowling 3 South Resident Mailboxes, Boston, MA 02118 | 2019-03-19 |
| 1528549425 | Adekemi Victoria Adeleye | Nurse Practitioner | 1 Boston Medical Center Place, Boston, MA 02118 | 2018-08-28 |
| 1437630704 | Esperanza Victoria Salinas | Social Worker | 1 Boston Medical Center Place, Boston, MA 02118 | 2018-08-24 |
| 1679067896 | Carly Ramos | Registered Nurse | 1 Boston Medical Center Place, Boston, MA 02118 | 2018-06-20 |
| 1215431713 | Nitin Shrivastava | Student in an Organized Health Care Education/Training Program | 1 Boston Medical Center Place, Menino Buildling, Dowling 3 South Resident Mailboxes, Boston, MA 02118 | 2018-03-20 |
| 1659898518 | Marion Carol Tilearcio | Physician Assistant | 1 Boston Medical Center Place, Dowling One South, Boston, MA 02118-2908 | 2017-08-23 |
| 1093244055 | Frances Barnhardt Hatling | Counselor | 1 Boston Medical Center Place, Boston, MA 02118 | 2017-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870023 | Carlos E Salazar | Counselor | Hcrc 23 Bradston St., Boston, MA 02118 | 2020-10-27 |
| 1780292607 | Jinal Gandhi | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Boston, MA 02118 | 2020-07-16 |
| 1669094777 | German Eduardo Velez | Student in an Organized Health Care Education/Training Program | One Boston Medical Center Place Boston Medical Center, Boston, MA 02118 | 2020-05-12 |
| 1255969895 | Isabela Medeiros Heringer Pereira | Student in an Organized Health Care Education/Training Program | 670 Albany Stree, 4th Floor, Boston, MA 02118 | 2020-03-30 |
| 1033746466 | Karan Sunil Hingorani | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Precepting Room, Boston, MA 02118 | 2020-03-25 |
| 1326672791 | Azza Ahmed | Dentist | 635 Albany St. G-744, Boston, MA 02118 | 2020-02-25 |
| 1538707401 | Jane Margolis | Social Worker | 840 Harrison Ave., Dowling 2 South, Boston, MA 02118 | 2019-12-11 |
| 1871134833 | Supontep Teerakanok | Dentist | Henry Goldman School of Dental Medicine, 635 Albany St, Boston, MA 02118 | 2019-10-01 |
| 1750939583 | Qasim Silman Ajmi | Orthopaedic Surgery | Department of Orthopaedic Surgery Boston Medical Center, 850 Harrison Ave Dowling 2 North, Boston, MA 02118 | 2019-08-26 |
| 1922655539 | Jami Ryan Pollard | Physician Assistant | 840 Harrison Avenue, Menino Building, Boston, MA 02118 | 2019-08-20 |
| Find all providers in zip 02118 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366947954 | Karrin Weisenthal | Emergency Medicine | 1 Boston Pl Rm 1322, Boston, MA 02108 | 2018-03-27 |
| 1942705884 | Jillian Britt Duffy | Emergency Medicine | 1 Boston Medical Ctr Pl Rm 1322, Boston, MA 02118 | 2018-03-23 |
| 1245760024 | Nicholas D. Kurtzman | Emergency Medicine | One Deaconess Road Rosenberg Building, 2nd Floor, Department of Emergency Medicine, Boston, MA 02215 | 2017-06-14 |
| 1942730007 | Alec John Koffer | Emergency Medicine | 1 Deaconess Rd Bldg 2nd, Boston, MA 02215-5321 | 2017-06-12 |
| 1609257609 | Andrew Dean Alex Marshall | Emergency Medicine | 1 Deaconess Rd Fl 2, Boston, MA 02215-5321 | 2015-06-16 |
| 1124414446 | Alister Martin | Emergency Medicine | 75 Francis St # At, Boston, MA 02115-6110 | 2015-04-14 |
| 1699188524 | Vijay Christopher Kannan | Emergency Medicine | 1 Deaconess Road W/cc2, Boston, MA 02215 | 2014-06-09 |
| 1659798809 | Jonathan Van Ornam | Emergency Medicine | 75 Francis St # 236a, Boston, MA 02115-6110 | 2014-03-26 |
| 1871938597 | Christine Lee | Emergency Medicine | Department of Emergency Medicine, Beth Israel Deaconess, One Deaconess Road, Rosenberg Building 2, Boston, MA 02215-5321 | 2013-05-08 |
| 1497098149 | Andrew Perechocky | Emergency Medicine | 1 Boston Medical Center Place, Dowling 1 South Rm 1322, Boston Medical Center, Dept. of Emergency Medicine, Boston, MA 02118 | 2013-04-01 |
| Find all providers in BOSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.